leveraging technology to transform health care | kws montréal

Shivani Goyal, B.Eng, MASc!

60% of spending on chronic disease!

Diabetes!

Lung Disease!

Hypertension! Heart Failure!

Kidney Failure! Mental Health!

Cost of Care!

Qual

ity o

f Life

!

$1! $10! $100! $1,000! $10,000!

100%!

0%!

Specialty Clinical!Community Hospital!

ICU!

Assisted Living!Skilled Nursing !

Facility!

Healthy Independent Living!Community Clinic!

Chronic Disease Management!Doctors Office!

Acute Care!

Home Care!

Patient Self-Care!

From Intel & Center for Aging Services Technologies (CAST)!

mHealth!Cell phones vs. smartphone!

15,000 + health and wellness apps!

!

Remote Patient Monitoring!

Highly Automated!

Congestive Heart Failure RCT Results!

150 pg/mL!BNP Horomone!

7.4%!Left Ventricular Ejection Fraction!

7 Points!Self-Care!

NO CHANGE in the control group!

Hypertension & Type 2 Diabetes!

20% Drop in risk of heart attack or stroke!NO CHANGE!

NO ADDITIONAL MEDS OR OFFICE VISITS!

Type 1 Diabetes!

Its not working…!

Mobile!!Encourage Self-monitoring!!Teachable Moments!!Allow Communication With Parents and Providers!!Fast & Discrete!!Promote Positive Health Behaviors!!Be wireless!

The Pilot Study!

49.6% Daily average frequency of

blood glucose measurements!

0! 10! 20! 30! 40!

Russia!Australia!

United Kingdom!Spain!

Mexico!France!Brazil!China!Italia!

Canada!Korea!

United States!

Percentage!

>55,000 Downloads!8,000 Daily Active Users!

11 Languages!

Type 2 Diabetes

Asthma

Its not working…!

What about everyone else?

Invincible)18,35)years)old) Little)disease)burden)

Stressed,out)middle)aged)adults) Medium)disease)burden)

Older)adults) Heavy)disease)burden)

Remote Patient Monitoring!

Tone%is%playful%and%unique%%

Awards%are%progressive%%

Social%interac8on%through%Facebook,%Twi>er%or%email%

Encouragement)

So)much)data!)%

September%19th,%2012%to%February%27th,%2013%

74,$396$total%downloads%%

69,952%users%%

Female)>)Male)

Promotions)work!)

Engagement)levels)

Approach)was)successful)

Poor communication is one of the most common underlying causes of medical error.!

Complex patients are particularly vulnerable!

Evidence BasedRigoursly Designed

Patient Focused Social

Consumer Initiated!

Thank You!!

shivani@humanfactors.ca!